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[替诺昔康与肾功能。短期和长期前瞻性研究]

[Tenoxicam and renal function. Short-term and long-term prospective studies].

作者信息

Giovannoni J L, Ott H, de Torrenté A

机构信息

Département de médecine et Service de rhumatologie, Hôpital, La Chaux-de-Fonds.

出版信息

Schweiz Med Wochenschr. 1990 May 26;120(21):793-7.

PMID:2349462
Abstract

The influence of tenoxicam on renal function was studied prospectively in two different populations. Group I (n = 10) was classified as "high renal risk" patients and received 20 mg of tenoxicam per day for five days. Glomerular filtration rate measured with Cr51 EDTA decreased significantly by 13 +/- 3.6% (p less than 0.01). Group II (n = 56) were outpatients from the rheumatology clinic and received 20 mg tenoxicam per day for one to five years. Plasma creatinine did not change significantly, except in one patient who had some degree of renal impairment before therapy. Tenoxicam carries no greater renal risks than other non-steroidal antiinflammatory drugs when administered to a non-"high renal risk" population. On the other hand, simple renal function monitoring should be carried out in high risk patients.

摘要

在两个不同人群中对替诺昔康对肾功能的影响进行了前瞻性研究。第一组(n = 10)被归类为“高肾风险”患者,每天接受20毫克替诺昔康,共五天。用铬51乙二胺四乙酸测量的肾小球滤过率显著下降了13±3.6%(p < 0.01)。第二组(n = 56)是风湿病门诊的门诊患者,每天接受20毫克替诺昔康,持续一至五年。除了一名在治疗前有一定程度肾功能损害的患者外,血浆肌酐没有显著变化。当给予非“高肾风险”人群时,替诺昔康带来的肾风险并不比其他非甾体抗炎药更大。另一方面,对于高风险患者应进行简单的肾功能监测。

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